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State administration 1016 Benefits ? States obligated to offer minimum package of benefits ? States may offer more generous benefits ? State administrative flexibility 1017 Medicaid: Impacts on Health ? Takeup rate ? Crowding out ? Empirical evidence: Are Medicaid expansions effective? Crowding out and taking up 1018 Health Care Reform ? Individual mandates ? Health savings accounts ? Catastrophic insurance policy ? Single payer 1019 Final Thoughts ? Security v efficiency ? No free lunch ? Connection between health care expenditures and health 1020 Does Public Insurance Crowd Out Private Insurance? Health insurance Health insurance Health insurance Quantity of all other goods Quantity of all other goods Quantity of all other goods A A A F F F B B B M M M 0 0 0 Amount of publicly provided insurance Amount of publicly provided insurance Amount of publicly provided insurance C C C